McCue Michael, Mark Barbara A, Harless David W
Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA.
J Health Care Finance. 2003 Summer;29(4):54-76.
In examining the relationship among nurse staffing, quality of care, and financial performance, prior empirical studies used competing measures and applied different levels of analysis. Using longitudinal data from 1990 through 1995, our study applied a dynamic econometric model to evaluate whether hospitals that changed their nurse staffing and quality of care affected their financial performance. Sampling 422 hospitals over this study period, we found a statistically significant increase in operating costs when registered nurse levels increase, but no statistically significant decrease in profit. Higher levels of non-nurse staffing caused higher operating expenses, as well as lower profits.
在研究护士配备、护理质量和财务绩效之间的关系时，以往的实证研究采用了相互竞争的衡量标准，并应用了不同层次的分析方法。利用1990年至1995年的纵向数据，我们的研究应用动态计量经济学模型来评估那些改变了护士配备和护理质量的医院是否会影响其财务绩效。在本研究期间对422家医院进行抽样，我们发现注册护士人数增加时运营成本有统计学上的显著增加，但利润没有统计学上的显著下降。非护士人员配备水平较高导致运营费用增加，同时利润降低。
